PRIMARY CARE SERVICES OF JUPITER MEDICAL SPECIALISTS, LLC (NPI# 1205280880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205280880 |
| Entity Type | Organization |
| Organization Name | PRIMARY CARE SERVICES OF JUPITER MEDICAL SPECIALISTS, LLC |
| Practice Address |
2854 Se Federal Hwy Stuart FL 34994-5738 |
| Mailing Address |
Po Box 450608 Sunrise FL 33345-0608 |
| Practice Telephone | 7722230953 |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2019-09-19 |
| Authorized Official Name | KATHLEEN KONDAS (OFFICER) |
| Authorized Official Telephone | 9548382371 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659817807 | Primary Care Services of Jupiter Medical Specialists, LLC | Family Medicine | 1004 S Old Dixie Hwy, Suite 201, Jupiter, FL 33458-7200 | 2017-01-12 |
| 1396281671 | Primary Care Services of Jupiter Medical Specialists, LLC | Family Medicine | 136 Jupiter Lakes Blvd, Jupiter, FL 33458-7180 | 2017-01-11 |
| 1538514195 | Primary Care Services of Jupiter Medical Specialists, LLC | Family Medicine | 1002 S Old Dixie Hwy, Suite 206, Jupiter, FL 33458-7202 | 2016-05-02 |
| 1447621164 | Primary Care Services of Jupiter Medical Specialists, LLC | Family Medicine | 601 University Blvd, Suite 206, Jupiter, FL 33458-2788 | 2015-10-08 |
| 1851777460 | Primary Care Services of Jupiter Medical Specialists, LLC | Family Medicine | 1080 E Indiantown Rd, Suite 206, Jupiter, FL 33477-5100 | 2015-08-05 |
| 1801271994 | Primary Care Services of Jupiter Medical Specialists, LLC | Family Medicine | 3401 Pga Blvd, Suite 320, Palm Beach Gardens, FL 33410-2823 | 2015-07-30 |
| 1508243742 | Primary Care Services of Jupiter Medical Specialists, LLC | Family Medicine | 169 Tequesta Dr, Suite 12e, Tequesta, FL 33469-2768 | 2015-04-27 |
| 1164809307 | Primary Care Services of Jupiter Medical Specialists, LLC | Family Medicine | 5430 Military Trl, Suite 62, Jupiter, FL 33458-2873 | 2015-04-27 |
| Street Address |
2854 SE FEDERAL HWY |
| City | STUART |
| State | FL |
| Zip Code | 34994-5738 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356360606 | Richard Dube | Family Medicine | 2854 Se Federal Hwy, Stuart, FL 34994 | 2006-07-18 |
| 1093269557 | General Surgery of Jupiter Medical Specialists, LLC | Surgery | 2854 Se Federal Hwy, Stuart, FL 34994-5738 | 2016-08-12 |
| 1437535663 | Olga Fernandez | Dietitian, Registered | 2854 Se Federal Hwy, Stuart, FL 34994-5738 | 2015-08-11 |
| 1811383433 | Wendy Sue Leroy | Family Medicine | 2854 Se Federal Hwy, Stuart, FL 34994 | 2015-04-09 |
| 1265714497 | Richard A Dube Md Inc. | Clinic/Center | 2854 Se Federal Hwy, Stuart, FL 34994-5738 | 2011-09-14 |
| 1457631350 | Gary Bradley | General Practice | 2854 Se Federal Hwy, Stuart, FL 34994 | 2011-08-23 |
| 1790971356 | Hillary C Morris | Nurse Practitioner | 2854 Se Federal Hwy, Stuart, FL 34994-5738 | 2007-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912543711 | Prestige Medical Billing. Inc | Durable Medical Equipment & Medical Supplies | 2678 Se Willoughby Blvd, Stuart, FL 34994 | 2019-11-27 |
| 1780229203 | Katherine Ginn | Occupational Therapist | 809 Se Central Parkway, Stuart, FL 34994 | 2019-11-07 |
| 1972167294 | Melissa Callaham Lcsw | Social Worker | 900 East Ocean Blvd., Suite D-130, Office 26, Stuart, FL 34994 | 2019-04-23 |
| 1053881300 | Spencer Perna | Chiropractor | 632 Se Monterey Rd., Stuart, FL 34994 | 2018-11-29 |
| 1720563521 | National Vision Inc | Technician/Technologist | 2600 Southeast Federal Highway, Stuart, FL 34994 | 2018-09-27 |
| 1649767351 | Frank Alario Md & Associates | Non-Pharmacy Dispensing Site | 721 South Colorado Avenue, Stuart, FL 34994 | 2018-04-18 |
| 1609305499 | Wideline Thelemaque-claire | Behavior Technician | 900 E Ocean Blvd, Suite 130d, Stuart, FL 34994 | 2017-06-06 |
| 1316488984 | Jessica Gaffney | Social Worker | 416 Se Balboa Ave., Suite 200, Stuart, FL 34994 | 2017-03-16 |
| 1578012035 | Essentials Medical Group, LLC | Internal Medicine | 2694 Se Willoughby Blvd, Stuart, FL 34994 | 2016-09-26 |
| 1356898324 | Waters Edge Dermatology Global LLC | Surgery | 2601 S Kanner Highway, Stuart, FL 34994 | 2016-09-07 |
| Find all providers in zip 34994 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861854671 | Tony Nguyen | Family Medicine | 1980 Se Ocean Blvd, Stuart, FL 34996-3302 | 2016-03-22 |
| 1679964555 | Metcare of Florida, Inc. | Family Medicine | 1233 Se Indian St, Suite 103, Stuart, FL 34997-5689 | 2015-02-12 |
| 1992045140 | Comprehensive Medical Care of The Treasure Coast, LLC | Family Medicine | 6658 Se Woodmill Pond Ln, Stuart, FL 34997-8710 | 2013-02-26 |
| 1710295514 | Sandcastles Pediatric Records Services | Family Medicine | 506 S.w. Federal Highway, Suite 101, Stuart, FL 34994 | 2010-09-15 |
| 1336388750 | Jon F. Wubbena Md, Pa | Family Medicine | 3291 Se Court Dr, Stuart, FL 34997-6009 | 2009-02-09 |
| 1669649505 | Robert Isaac Levy | Family Medicine | 2099 Nw Pine Tree Way, Stuart, FL 34994-8829 | 2008-05-09 |
| 1053503789 | Melanie E Purres | Family Medicine | 2400 Se Monterey Rd Ste 300, Stuart, FL 34996-3351 | 2007-08-16 |
| 1033318217 | Greater Sandhills Family Healthcare, PC | Family Medicine | 110 W 2nd Street, Stuart, NE 68780-1701 | 2007-07-17 |
| 1891863981 | Cheryl H Jordan | Family Medicine | 900 Se Ocean Blvd # 215b, Stuart, FL 34994-2471 | 2006-11-30 |
| 1720181480 | Jaime Castellanos | Family Medicine | 1320 Se Palm Beach Rd, Stuart, FL 34994-4053 | 2006-09-07 |
| Find all providers in STUART | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.